Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,819.70	Facility		$1,737.80	$1,737.80	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,884.03	Professional		$1,621.81	$1,905.46	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Professional		$1,862.09	$1,862.09	$2,290.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,981.07 / $3,981.07	Facility		$79.43	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,344.23	Professional		$1,698.24	$1,698.24	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,183.83 / $28,183.83	Professional		$19,498.45	$28,183.83	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $5,011.87	Facility		$1,698.24	$3,162.28	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,715.35	Professional		$1,737.80	$1,949.84	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,951.21	Professional		$2,884.03	$2,884.03	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $5,128.61	Facility		$1,698.24	$2,951.21	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,344.23	Professional		$1,698.24	$1,698.24	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $3,981.07	Facility		$1,071.52	$1,737.80	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,454.71	Professional		$1,445.44	$2,089.30	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07